EXAM 2 MED SURG (chp. 12-14, 32,36,37,38)
QUESTIONS WITH COMPLETE SOLUTIONS
. A 55-year-old female presents to the outpatient clinic
describing irregular menstrual periods and hot flashes. What
should the nurse explain? Correct Answers The patient's age
and symptoms point toward normal menopause.
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her to better bond with her unborn child. This
demonstrates which nursing technique? Correct Answers
Facilitating mourning
A 2-year-old child is ordered to have ear irrigation performed
daily. The nurse correctly performs the procedure by? Correct
Answers Pulling the auricle down and back to straighten the ear
canal.
A 25-year-old patient is brought to the hospital by police after
crashing his car in a high-speed chase when trying to avoid
arrest for spousal abuse. What should the nurse do? Correct
Answers Question the patient about drug use.
A 61-year-old obese patient is diagnosed with type 2 diabetes
and high blood pressure. The patient states that he is upset about
the diet restrictions imposed by the treatment regimen. What is
the nurse's best approach? Correct Answers Offer counseling on
nutrition and exercise.
,A 64-year-old quadriplegic patient needs an IM injection of
antibiotic. What is the best site for the administration? Correct
Answers Vastus lateralis
A 70-year-old patient who suffers from worsening dementia is
no longer able to live alone. When discussing health care
services and possible long-term living arrangements with the
patient's only son, what should the nurse suggest? Correct
Answers A nursing center because home care is no longer safe
A 72-year-old woman was recently widowed. She worked as a
teller at a bank for 40 years and has been retired for the past 5
years. She never learned how to drive. She lives in a rural area
that does not have public transportation. Which of the following
psychosocial changes does the nurse focus on as a priority?
Correct Answers Social isolation
A cancer patient asks the nurse what the criteria are for hospice
care. What should the nurse answer? Correct Answers Expected
to live less than 6 to 12 more months
A complex concept that is unique to each individual; is
dependent upon a person's culture, development, life
experiences, beliefs, and ideas about life; and is a unifying
theme in peoples' lives is called? Correct Answers Spirituality.
A confused patient refuses his medication. What is the nurse's
first response? Correct Answers Educates the patient about the
importance of the medication
,A correctional facility nurse is called to the scene of a deceased
inmate. The correction officer wants to quickly move the body
to the funeral home because he is not comfortable with death.
The inmate's body will need to be transported where? Correct
Answers Coroner's office for an autopsy
A drug requires a low pH to be metabolized. Knowing this, the
nurse anticipates that the medication will be administered by
which route? Correct Answers Oral
A dying patient with liver and renal failure requires pain
medication. The nurse anticipates that the medication dose will
be? Correct Answers A decreased dose from milligrams per
kilogram levels.
A family is grieving after learning of a family member's
accidental death. The transplant coordinator requests to talk with
the family about possible organ and tissue donation. The nurse
recognizes that? Correct Answers The transplant coordinator is
working in accordance with federal law.
A male older adult patient expresses his concern and anxiety
about decreased penile firmness during erection. What is the
nurse's best response? Correct Answers Tell the patient that this
change is expected in aging adults.
A man is hospitalized after surgery that amputated both lower
extremities owing to injuries sustained during military service.
The nurse should recognize his need to grieve for what type of
loss? Correct Answers Situational loss
, A mother brings her child to the clinic for a 12-month well visit.
The child weighed 6 pounds 2 ounces and was 21 inches long at
birth. What finding indicates that the child needs further
assessment? Correct Answers Weight of 16 pounds
A mother expresses concern because her 5-year-old child
frequently talks about friends who don't exist. What is the
nurse's best response to this mother's concern? Correct Answers
"It's very normal for a 5-year-old child to have imaginary
playmates."
A nurse discusses the risks of repeated sun exposure with a
young adult patient. Which of these patient responses would be
most expected from this patient? Correct Answers "I've had this
mole my whole life. So what if it changed color? My skin is
fine."
A nurse encounters a family that experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. The nurse's action
best demonstrates which nursing principle? Correct Answers
Facilitating normal mourning
A nurse has withdrawn a narcotic from the medication
dispenser. Upon checking the drug against the medication
administration record, the nurse notices that the narcotic order
has expired. What should be the nurse's first action? Correct
Answers Return the medication to the medication dispenser
according to protocol.
QUESTIONS WITH COMPLETE SOLUTIONS
. A 55-year-old female presents to the outpatient clinic
describing irregular menstrual periods and hot flashes. What
should the nurse explain? Correct Answers The patient's age
and symptoms point toward normal menopause.
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her to better bond with her unborn child. This
demonstrates which nursing technique? Correct Answers
Facilitating mourning
A 2-year-old child is ordered to have ear irrigation performed
daily. The nurse correctly performs the procedure by? Correct
Answers Pulling the auricle down and back to straighten the ear
canal.
A 25-year-old patient is brought to the hospital by police after
crashing his car in a high-speed chase when trying to avoid
arrest for spousal abuse. What should the nurse do? Correct
Answers Question the patient about drug use.
A 61-year-old obese patient is diagnosed with type 2 diabetes
and high blood pressure. The patient states that he is upset about
the diet restrictions imposed by the treatment regimen. What is
the nurse's best approach? Correct Answers Offer counseling on
nutrition and exercise.
,A 64-year-old quadriplegic patient needs an IM injection of
antibiotic. What is the best site for the administration? Correct
Answers Vastus lateralis
A 70-year-old patient who suffers from worsening dementia is
no longer able to live alone. When discussing health care
services and possible long-term living arrangements with the
patient's only son, what should the nurse suggest? Correct
Answers A nursing center because home care is no longer safe
A 72-year-old woman was recently widowed. She worked as a
teller at a bank for 40 years and has been retired for the past 5
years. She never learned how to drive. She lives in a rural area
that does not have public transportation. Which of the following
psychosocial changes does the nurse focus on as a priority?
Correct Answers Social isolation
A cancer patient asks the nurse what the criteria are for hospice
care. What should the nurse answer? Correct Answers Expected
to live less than 6 to 12 more months
A complex concept that is unique to each individual; is
dependent upon a person's culture, development, life
experiences, beliefs, and ideas about life; and is a unifying
theme in peoples' lives is called? Correct Answers Spirituality.
A confused patient refuses his medication. What is the nurse's
first response? Correct Answers Educates the patient about the
importance of the medication
,A correctional facility nurse is called to the scene of a deceased
inmate. The correction officer wants to quickly move the body
to the funeral home because he is not comfortable with death.
The inmate's body will need to be transported where? Correct
Answers Coroner's office for an autopsy
A drug requires a low pH to be metabolized. Knowing this, the
nurse anticipates that the medication will be administered by
which route? Correct Answers Oral
A dying patient with liver and renal failure requires pain
medication. The nurse anticipates that the medication dose will
be? Correct Answers A decreased dose from milligrams per
kilogram levels.
A family is grieving after learning of a family member's
accidental death. The transplant coordinator requests to talk with
the family about possible organ and tissue donation. The nurse
recognizes that? Correct Answers The transplant coordinator is
working in accordance with federal law.
A male older adult patient expresses his concern and anxiety
about decreased penile firmness during erection. What is the
nurse's best response? Correct Answers Tell the patient that this
change is expected in aging adults.
A man is hospitalized after surgery that amputated both lower
extremities owing to injuries sustained during military service.
The nurse should recognize his need to grieve for what type of
loss? Correct Answers Situational loss
, A mother brings her child to the clinic for a 12-month well visit.
The child weighed 6 pounds 2 ounces and was 21 inches long at
birth. What finding indicates that the child needs further
assessment? Correct Answers Weight of 16 pounds
A mother expresses concern because her 5-year-old child
frequently talks about friends who don't exist. What is the
nurse's best response to this mother's concern? Correct Answers
"It's very normal for a 5-year-old child to have imaginary
playmates."
A nurse discusses the risks of repeated sun exposure with a
young adult patient. Which of these patient responses would be
most expected from this patient? Correct Answers "I've had this
mole my whole life. So what if it changed color? My skin is
fine."
A nurse encounters a family that experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. The nurse's action
best demonstrates which nursing principle? Correct Answers
Facilitating normal mourning
A nurse has withdrawn a narcotic from the medication
dispenser. Upon checking the drug against the medication
administration record, the nurse notices that the narcotic order
has expired. What should be the nurse's first action? Correct
Answers Return the medication to the medication dispenser
according to protocol.
